Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.80 / $977.64 / $1,299.59	Professional		$672.80	$977.64	$1,299.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.70 / $396.70 / $396.70	Facility		$396.70	$396.70	$396.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.20 / $396.70 / $408.60	Professional		$337.20	$396.70	$408.60
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $583.10 / $807.01 / $1,152.86	Facility		$583.10	$807.01	$1,152.86
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $1,166.76 / $1,330.54 / $1,666.80	Professional		$1,166.76	$1,330.54	$1,666.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.66 / $120.47 / $1,095.21	Professional		$76.66	$120.47	$1,095.21
United Facility/Professional Professional Modifier Low / Median / High Price $649.57 / $838.63 / $1,161.65	Professional		$649.57	$838.63	$1,161.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,095.21 / $1,095.21 / $1,095.21	Professional		$1,095.21	$1,095.21	$1,095.21